Screw and Plate Removal from Chin, should I use a plastic surgeon or oral maxiofacial surgeon? Is this procedure difficult?

Either a plastic surgeon or OMS would work. They just have to have the right tools. It might be wise but difficult  to get the system that was used 12 years ago so the surgeon knows which kind of specific tool to use.

There is no risk of infection or any bone problems with removing chin hardware. It likely has some bone overgrowth on top of the hardware which can make its complete removal difficult in some cases. I would have a panorex x-ray done beforehand so the type of hardware can be seen. Your surgeon should have available a universal screwdriver set as there are man different types of screw heads that have been used over the years in maxillofacial bone fixation hardware. It is best to go to a surgeon who has done a lot of bony genioplasties as they have undoubtably put in a lot of these types of hardware.

Hi,This is not a difficult procedure and either specialty should be able to remove the hardware. Infection is unlikely. Julian